The Complications of Sinusitis in a Tertiary Care Hospital: Types, Patient Characteristics, and Outcomes
Table 1
Type of complication from sinusitis.
Type(s) of complication
Patients (%)
Details
1
58 (68.3%)
Local: 14 9 cases of mucocele, 2 cases of facial cellulitis, 2 cases of facial abscess, and 1 case of osteomyelitis Orbital: 16 5 cases of periorbital cellulitis, 5 cases of orbital cellulitis, and 6 cases of subperiosteal abscess (SPOA) Intracranial: 13 5 cases of meningitis, 2 cases of meningitis with frontal abscess, 1 case of temporal abscess, 1 case of midbrain abscess and CN VII palsy (UMNL), and 4 cases of meningitis with other complications Cranial nerve (CN) palsy: 15 2 CN II cases 4 CN III cases 1 CN IV case 3 CN VI cases 1 CN III, CN IV case 1 CN III, CN VI case 3 CN III, CN IV, and CN VI cases
2
17 (20%)
3 mucocele cases 2 with SPOA and 1 with optic neuropathy 8 SPOA cases 4 with CN palsy (limitation of EOM all directions, visual loss) 3 with facial cellulitis/abscess 1 with osteomyelitis 4 periorbital/orbital cellulitis cases with facial cellulitis/abscess 1 orbital cellulitis and superior ophthalmic vein thrombosis with meningitis 1 transverse and sigmoid sinus thrombosis with bilateral CN VI palsy
3
8 (9.4%)
6 cavernous thrombosis cases 3 CN II, CN III, CN IV, and CN VI cases 1 CN II, VI case 1 CN III, VI case 1 CN II, VII case 1 orbital and facial abscess case with blindness 1 orbital cellulitis, scalp abscess, lid abscess, and superior sagittal sinus thrombosis case
4
2 (3%)
2 cases of cavernous sinus thrombosis with facial abscess or cellulitis
SPOA: subperiosteal abscess; UMNL: upper motor neuron lesion; CN: cranial nerve; EOM: extraocular movement. Hydrocephalus, DIC, sepsis, prevertebral abscess, and transverse and sigmoid sinus thrombosis.